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    <title>呼吸机质量检测原始记录</title>
</head>
<body>
<div class="container">
    <div class="row" title>
        <div class="row col s12 m8 offset-m2">
           <strong>呼吸机质量检测原始记录</strong>
        </div>
    </div>
    <form method="post" action="{:U('Manage/xingneng_add')}">
    <div class="row">
        <div class="row col s12 m8 offset-m2">
            <div class="header border-top">
                <span>使用科室</span>
                <span class="right truncate" id="tool-department"><?php echo $msg[0];?></span>
            </div>
            <div class="header">
                <span>联系电话</span>
                <span class="right truncate" id="telephone"><?php echo $msg[1];?></span>
            </div>
            <div class="header">
                <span>检测依据</span>
                <span class="right truncate" id="">呼吸机质量检测规范</span>
            </div>
            <div class="header col s12 text">
                <div class="col s4 border-right">
                    <span class="btn title" for="text1" placeholder="温度、相对湿度">环境条件</span>
                </div>
                <div class="col s8">
                    <input type="text" name="1-t1" />
                </div>
            </div> 
        </div>

        <div class="row col s12 m8 offset-m2">
            <span>
                <strong>被检仪器</strong>
            </span>
        </div>
        <div class="row col s12 m8 offset-m2">
            <div class="row col s12 radio0">
                <div class="col s4 border-top border-right border-bottom border-left">
                    <span class="btn title ">设备名称</span>
                </div>
                <div class="col s4 border-right">
                    <input type="radio" name="2-t1" id="radio01" value="1">
                    <label class="btn breath1 waves-effect waves-light" for="radio01">
                        <?php echo $msg[2];?></label>
                </div>
                <div class="col s4">
                    <input type="radio" name="2-t1" id="radio02" value="0">
                    <label class="btn breath waves-effect waves-light" for="radio02">简易呼吸器</label>
                </div>
            </div>
             <div class="header">
                <span>生产厂家</span>
                <span class="right truncate" id="equip-type">FLUKE</span>
            </div>
             <div class="header">
                <span>型号规格</span>
                <span class="right truncate" id="equip-type"><?php echo $msg[3];?></span>
            </div>
            <div class="header">
                <span>设备编号</span>
                <span class="right truncate" id="equip-id"><?php echo $msg[4];?></span>
            </div>
        </div>

        <div class="row col s12 m8 offset-m2">
            <span>
                <strong>标准器</strong>
            </span>
        </div>
        <div class="row col s12 m8 offset-m2">
            <div class="header border-top">
                <span>设备名称</span>
                <span class="right truncate" id="tool-name">呼吸机测试仪/夹板模肺</span>
            </div>
            <div class="header">
                <span>生产厂家</span>
                <span class="right truncate" id="tool-manufacturer">FLUKE</span>
            </div>
            <div class="header">
                <span>型号规格</span>
                <span class="right truncate" id="tool-type">Impulse 6000D/Impulse 7000DP</span>
            </div>
            <div class="header">
                <span>设备编号</span>
                <span class="right truncate" id="equip-id">111</span>
            </div>
        </div>
    </div>
    <div class="row">
        <div class="row col s12 m8 offset-m2">
        <fieldset>
            <legend>
                <strong>潮气量（VCV模式）</strong>
            </legend>
            <div class="table">
                <div class="row col s12 border-top">
                    <div class="col s3 border-right">
                        <span class="btn title">设定值(ml)</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">100</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">500</span>
                    </div>
                    <div class="col s3">
                        <span class="btn title">800</span>
                    </div>
                </div>
                <div class="row col s12 text">
                    <div class="col s3 border-right">
                        <span class="btn title">输出实测值</span>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="3-t1" class="number" />
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="3-t2" class="number" />
                    </div>
                    <div class="col s3">
                        <input type="text" name="3-t3" class="number" />
                    </div>
                </div>
                <div class="row col s12 text">
                    <div class="col s3 border-right">
                        <span class="btn title">示值</span>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="5-t1" class="number" />
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="5-t2" class="number" />
                    </div>
                    <div class="col s3">
                        <input type="text" name="5-t3" class="number" />
                    </div>
                </div>
            </div>
        </fieldset><br>
        <fieldset>
            <legend>
                <strong>强制通气频率与呼吸比（VCV模式）</strong>
            </legend>
            <div class="table">
                <div class="row col s12 border-top">
                    <div class="col s3 border-right">
                        <span class="btn title">设定值(BPM)</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">40</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">20</span>
                    </div>
                    <div class="col s3">
                        <span class="btn title">15</span>
                    </div>
                </div>
                <div class="row col s12 text">
                    <div class="col s3 border-right">
                        <span class="btn title">输出实测值</span>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="7-t1" class="number"/>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="7-t2" class="number"/>
                    </div>
                    <div class="col s3">
                        <input type="text" name="7-t3" class="number"/>
                    </div>
                </div>
                <div class="row col s12 text">
                    <div class="col s3 border-right">
                        <span class="btn title">示值</span>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="9-t1" class="number"/>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="9-t2" class="number"/>
                    </div>
                    <div class="col s3">
                        <input type="text" name="9-t3" class="number"/>
                    </div>
                </div>
                <div class="row col s12">
                    <div class="col s3 border-right">
                        <span class="btn title">设定值(I:E)</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">1:1</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">1:1.5</span>
                    </div>
                    <div class="col s3">
                        <span class="btn title">1:2</span>
                    </div>
                </div>
            </div>
        </fieldset> <br>
        <fieldset>
            <legend>
                <strong>吸入氧浓度（FIO）</strong>
            </legend>
            <div class="table">
                <div class="row col s12 border-top">
                    <div class="col s3 border-right">
                        <span class="btn title">设定值(%)</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">90</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">60</span>
                    </div>
                    <div class="col s3">
                        <span class="btn title">30</span>
                    </div>
                </div>
                <div class="row col s12 text">
                    <div class="col s3 border-right">
                        <span class="btn title">输出实测值</span>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="11-t1" class="number"/>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="11-t2" class="number"/>
                    </div>
                    <div class="col s3">
                        <input type="text" name="11-t3" class="number"/>
                    </div>
                </div>
                <div class="row col s12 text">
                    <div class="col s3 border-right">
                        <span class="btn title">示值</span>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="13-t1" class="number"/>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="13-t2" class="number"/>
                    </div>
                    <div class="col s3">
                        <input type="text" name="13-t3" class="number"/>
                    </div>
                </div>
            </div>
        </fieldset><br>
        <fieldset>
            <legend>
                <strong>吸气压力水平PCV或新生儿呼吸机的PLV模式(f=20)</strong>
            </legend>
            <div class="table">
                <div class="row col s12 border-top">
                    <div class="col s3 border-right">
                        <span class="btn title">设定值/cmH2O</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">50</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">30</span>
                    </div>
                    <div class="col s3">
                        <span class="btn title">10</span>
                    </div>
                </div>
                <div class="row col s12 text">
                    <div class="col s3 border-right">
                        <span class="btn title">输出实测值</span>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="15-t1" class="number"/>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="15-t2" class="number"/>
                    </div>
                    <div class="col s3">
                        <input type="text" name="15-t3" class="number"/>
                    </div>
                </div>
                <div class="row col s12 text">
                    <div class="col s3 border-right">
                        <span class="btn title">示值</span>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="17-t1" class="number"/>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="17-t2" class="number"/>
                    </div>
                    <div class="col s3">
                        <input type="text" name="17-t3" class="number"/>
                    </div>
                </div>
            </div>
        </fieldset><br>
        <fieldset>
            <legend>
                <strong>呼气末正压PEEP(VCV模式VT=400mlf = 20)</strong>
            </legend>
            <div class="table">
                <div class="row col s12 border-top">
                    <div class="col s3 border-right">
                        <span class="btn title">设定值/cmH2O</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">0</span>
                    </div>
                    <div class="col s3 border-right">
                        <span class="btn title">5</span>
                    </div>
                    <div class="col s3">
                        <span class="btn title">15</span>
                    </div>
                </div>
                <div class="row col s12 text">
                    <div class="col s3 border-right">
                        <span class="btn title">输出实测值</span>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="19-t1" class="number"/>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="19-t2" class="number"/>
                    </div>
                    <div class="col s3">
                        <input type="text" name="19-t3" class="number"/>
                    </div>
                </div>
                <div class="row col s12 text">
                    <div class="col s3 border-right">
                        <span class="btn title">示值</span>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="21-t1" class="number"/>
                    </div>
                    <div class="col s3 border-right">
                        <input type="text" name="21-t2" class="number"/>
                    </div>
                    <div class="col s3">
                        <input type="text" name="21-t3" class="number"/>
                    </div>
                </div>
            </div>
        </fieldset><br>
        <fieldset>
            <div class="row col s12 border-top radio1">
                <div class="col s3 border-right">
                    <span class="btn title">容量预制模式</span>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="23-t1" id="radio11" value="1">
                    <label class="btn waves-effect waves-light" for="radio11">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="23-t1" id="radio12" value="0">
                    <label class="btn waves-effect waves-light" for="radio12">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="23-t1" id="radio13" value="2">
                    <label class="btn waves-effect waves-light" for="radio13">N/A </label>
                </div>
            </div>
            <div class="row col s12 radio2">
                <div class="col s3 border-right">
                    <span class="btn title">压力预制模式</span>
                </div>
                <div class="col s3 border-right border-bottom">
                    <input type="radio" name="24-t1" id="radio21" value="1">
                    <label class="btn waves-effect waves-light" for="radio21">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="24-t1" id="radio22" value="0">
                    <label class="btn waves-effect waves-light" for="radio22">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="24-t1" id="radio23" value="2">
                    <label class="btn waves-effect waves-light" for="radio23">N/A </label>
                </div>
            </div>
            <div class="row col s12 radio3">
                <div class="col s3 border-right">
                    <span class="btn title">流量触发功能</span>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="25-t1" id="radio31" value="1">
                    <label class="btn waves-effect waves-light" for="radio31">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="25-t1" id="radio32" value="0">
                    <label class="btn waves-effect waves-light" for="radio32">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="25-t1" id="radio33" value="2">
                    <label class="btn waves-effect waves-light" for="radio33">N/A </label>
                </div>
            </div>
            <div class="row col s12 radio4">
                <div class="col s3 border-right">
                    <span class="btn title">压力触发功能</span>
                </div>
                <div class="col s3 border-right border-bottom">
                    <input type="radio" name="26-t1" id="radio41" value="1">
                    <label class="btn waves-effect waves-light" for="radio41">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="26-t1" id="radio42" value="0">
                    <label class="btn waves-effect waves-light" for="radio42">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="26-t1" id="radio43" value="2">
                    <label class="btn waves-effect waves-light" for="radio43">N/A </label>
                </div>
            </div>
        </fieldset><br>
        <fieldset>
            <div class="row col s12 border-top radio5">
                <div class="col s3 border-right">
                    <span class="btn title">电源报警</span>
                </div>
                <div class="col s3 border-right border-bottom">
                    <input type="radio" name="27-t1" id="radio51" value="1">
                    <label class="btn waves-effect waves-light" for="radio51">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="27-t1" id="radio52" value="0">
                    <label class="btn waves-effect waves-light" for="radio52">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="27-t1" id="radio53" value="2">
                    <label class="btn waves-effect waves-light" for="radio53">N/A </label>
                </div>
            </div>
            <div class="row col s12 radio6">
                <div class="col s3 border-right">
                    <span class="btn title">气源报警</span>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="28-t1" id="radio61" value="1">
                    <label class="btn waves-effect waves-light" for="radio61">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="28-t1" id="radio62" value="0">
                    <label class="btn waves-effect waves-light" for="radio62">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="28-t1" id="radio63" value="2">
                    <label class="btn waves-effect waves-light" for="radio63">N/A </label>
                </div>
            </div>
            <div class="row col s12 radio7">
                <div class="col s3 border-right">
                    <span class="btn title">气道压力上/下限报警</span>
                </div>
                <div class="col s3 border-right border-bottom">
                    <input type="radio" name="29-t1" id="radio71" value="1">
                    <label class="btn waves-effect waves-light" for="radio71">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="29-t1" id="radio72" value="0">
                    <label class="btn waves-effect waves-light" for="radio72">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="29-t1" id="radio73" value="2">
                    <label class="btn waves-effect waves-light" for="radio73">N/A </label>
                </div>
            </div>
            <div class="row col s12 radio8">
                <div class="col s3 border-right">
                    <span class="btn title truncate">分钟通气量上/下限报警</span>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="30-t1" id="radio81" value="1">
                    <label class="btn waves-effect waves-light" for="radio81">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="30-t1" id="radio82" value="0">
                    <label class="btn waves-effect waves-light"  for="radio82">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="30-t1" id="radio83" value="2">
                    <label class="btn waves-effect waves-light" for="radio83">N/A </label>
                </div>
            </div>
            <div class="row col s12 radio9">
                <div class="col s3 border-right">
                    <span class="btn title">氧浓度上/下限报警</span>
                </div>
                <div class="col s3 border-right border-bottom">
                    <input type="radio" name="31-t1" id="radio91" value="1">
                    <label class="btn waves-effect waves-light"  for="radio91">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="31-t1" id="radio92" value="0">
                    <label class="btn waves-effect waves-light"  for="radio92">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="31-t1" id="radio93" value="2">
                    <label class="btn waves-effect waves-light"  for="radio93">N/A </label>
                </div>
            </div>
            <div class="row col s12 radio10">
                <div class="col s3 border-right">
                    <span class="btn title">窒息报警</span>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="32-t1" id="radio101" value="1">
                    <label class="btn waves-effect waves-light" for="radio101">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="32-t1" id="radio102" value="0">
                    <label class="btn waves-effect waves-light" for="radio102">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="32-t1" id="radio103" value="2">
                    <label class="btn waves-effect waves-light" for="radio103">N/A </label>
                </div>
            </div>
            <div class="row col s12 radio11">
                <div class="col s3 border-right">
                    <span class="btn title truncate">病人回路过压保护功能</span>
                </div>
                <div class="col s3 border-right border-bottom">
                    <input type="radio" name="33-t1" id="radio111" value="1">
                    <label class="btn waves-effect waves-light" for="radio111">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="33-t1" id="radio112" value="0">
                    <label class="btn waves-effect waves-light" for="radio112">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="33-t1" id="radio113" value="2">
                    <label class="btn waves-effect waves-light" for="radio113">N/A </label>
                </div>
            </div>
            <div class="row col s12 radio12">
                <div class="col s3 border-right">
                    <span class="btn title truncate">按键功能检查（含键盘锁）</span>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="34-t1" id="radio121" value="1">
                    <label class="btn waves-effect waves-light" for="radio121">符合</label>
                </div>
                <div class="col s3 border-right">
                    <input type="radio" name="34-t1" id="radio122" value="0">
                    <label class="btn waves-effect waves-light" for="radio122">不符合</label>
                </div>
                <div class="col s3">
                    <input type="radio" name="34-t1" id="radio123" value="2">
                    <label class="btn waves-effect waves-light" for="radio123">N/A </label>
                </div>
            </div>
        </fieldset><br>
        <fieldset>
            <div class="row col s12 radio9">
                <div class="col s4 border-right border-top">
                    <span class="btn title">检测结论</span>
                </div>
                <div class="col s4 border-top">
                    <input type="radio" name="35-t1" id="radio124" value="0">
                    <label class="btn waves-effect waves-light" name="f5-l4" for="radio124">不合格</label>
                </div>
                <div class="col s4 border-right border-top">
                    <input type="radio" name="35-t1" id="radio125" value="1">
                    <label class="btn waves-effect waves-light" name="f5-l4" for="radio125">合格</label>
                </div>
            </div>
            <div class="row col s12 text">
                <input type="text" name="35-t11" placeholder="不合格情况详细说明：">
            </div>
        </fieldset><br/>
        <fieldset>
            <div class="row col s12">
                <button id="mybtn" class="btn waves-effect waves-light blue">提交</button>
            </div>
        </fieldset>
        </div>
    </div>
    </form>
</div>
</body>
</html>
